| NPI | 1861963670 |
|---|---|
| Former Name | REBECCA LYNN SALAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1312144) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1312144) |
| 225100000X Physical Therapist (Licence: NY 008390-1) | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |